Organization
FIRST UROLOGY, PSC
Active
Parent organization
FIRST UROLOGY, PSC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FIRST UROLOGY, PSC
Authorized official
MICHAEL J SHANNON (CEO)
(812) 282-3899
Entity
Organization
Contact information
Practice address
5120 DIXIE HWY STE 105, LOUISVILLE, KY 40216-1775
(812) 282-3899
(812) 282-4172
Mailing address
101 HOSPITAL BLVD, JEFFERSONVILLE, IN 47130-3769
(812) 282-3899
(812) 282-4172
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
208800000X
Urology Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1650
MEDICARE
KY
05
—
65906414
—
KY
05
—
78902830
—
KY
Enumeration date
08/13/2021
Last updated
04/17/2026
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